HomeMy WebLinkAbout0151484 - Plumbing (lateal hook up) CITY OF OSHKOSH No 151484
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1555 S OAKWOOD RD Owner BRENT GALLMANN Create Date 08/02/2012
Contractor NOVAK EXCAVATING INC Category 401 -Residential-Exterior(laterals) Plan
Inspector. Jerry Fabisch
Bathtub Clothes Wshr _ Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp _ Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve _Coffee Maker Wtr Usage Mtrs
Lavatory San Sump/Pump FIr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait.St. Fixtures
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker _
Dishwasher Local Waste Sculry Sink Drink Ftn _Int Grease Trap
Floor Drain _ Bar Sink Sery Sink Wash Ftn _Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use/Nature 1SFR/Lateral hook-up* Property is located in the Town of Algoma but will be annexed into the City of Oshkosh at a 1
of Work future date.
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service
Parcel Id#
Valuation $3,500.00 Plan Approval ___ __ $0.00 Permit Fees $50.00 ❑ Permit Voided
qT
Issued By Date 08/02/2012
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit applica'• ithin n easement,the City strongly urges the permit applicant to contact the
easement holder(s)and • e . -'any nee -a i approvals before starting such activity.
Signature ,,.. ;%/M M Date x 0A0/ck
z
Agent/Owner
Address PO Br 389 RIPON WI 54971 -0389 Telephone Number 920-748-2512
To schedule nspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.